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新加坡军队热健康管理政策史

A History of Heat Health Management Policies in the Singapore Military.

作者信息

Sim Joshua Dao Wei, Lee Jason Kai Wei

机构信息

Department of History, Faculty of Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong.

Heat Resilience and Performance Centre, National University of Singapore, Singapore 117597, Singapore.

出版信息

Healthcare (Basel). 2023 Jan 10;11(2):211. doi: 10.3390/healthcare11020211.

DOI:10.3390/healthcare11020211
PMID:36673577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9858648/
Abstract

Our paper, which is the first historical study about heat injuries in Singapore, seeks to situate the Singapore Armed Forces' (SAF) history of heat stress management policies within the national context. Firstly, we observe that since the late 1970s, a research-driven approach has been adopted by the SAF's military medical leaders to formulate a range of policies to address the Forces' high incidence of heat injuries. This has resulted in the introduction of SAF-wide training measures, and the assembling of local scientific research expertise, which has led to a sharp reduction in heat injury incidence from the 1980s to 2000s. Through this, the SAF sought to demonstrate that its heat stress mitigation measures made the Singapore military 'heat proof'. Secondly, the state shaped a soldier safety agenda in the late 2000s on the back of an increasing emphasis on safety and the transformation of the SAF into a highly-educated and technologically-sophisticated force. This meant a shift towards concern about the welfare of every soldier, particularly through the state's drive to eradicate all training-related deaths. Accordingly, the SAF medical military leaders responded to the state's safety agenda by introducing heat stress management research and policies that were oriented towards the target of eradicating deaths due to heat stress. This policy and research direction, as such, has been strongly guided by the state's safety agenda and utilised to demonstrate to the public that all efforts have been taken to comprehensively mitigate the risks of heat.

摘要

我们的论文是关于新加坡热损伤的首次历史研究,旨在将新加坡武装部队(SAF)热应激管理政策的历史置于国家背景中。首先,我们观察到,自20世纪70年代末以来,SAF的军事医疗领导人采用了以研究为驱动的方法来制定一系列政策,以应对部队中热损伤的高发生率。这导致了在整个SAF范围内引入训练措施,并汇集了当地的科研专业知识,从而使20世纪80年代至21世纪初的热损伤发生率大幅下降。通过这一举措,SAF试图证明其热应激缓解措施使新加坡军队“耐热”。其次,在21世纪末,随着对安全的日益重视以及SAF向一支高学历、技术先进的部队转型,国家制定了一项士兵安全议程。这意味着转向关注每一名士兵的福利,特别是通过国家消除所有与训练相关死亡的努力。因此,SAF的军事医疗领导人通过引入以消除热应激导致的死亡为目标的热应激管理研究和政策,对国家的安全议程做出了回应。因此,这一政策和研究方向受到了国家安全议程的强烈引导,并被用来向公众表明已经采取了一切努力来全面降低热风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65de/9858648/d0b59e14e1c9/healthcare-11-00211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65de/9858648/2ce60590c6a6/healthcare-11-00211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65de/9858648/d0b59e14e1c9/healthcare-11-00211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65de/9858648/2ce60590c6a6/healthcare-11-00211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65de/9858648/d0b59e14e1c9/healthcare-11-00211-g002.jpg

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本文引用的文献

1
Relationship between weather parameters and risk of exertional heat injuries during military training.军事训练中与天气参数相关的运动性热损伤风险。
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Heat Stress Impacts on Cardiac Mortality in Nepali Migrant Workers in Qatar.热应激对卡塔尔尼泊尔 migrant 工人心脏死亡率的影响。 (注:这里“migrant”常见释义为“移民”,结合语境可能更准确的表述是“流动务工人员”之类,但按照要求未做修改)
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